ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Widening of the popliteal hiatus on magnetic resonance imaging leads to recurrent subluxation of the lateral meniscus.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 18 citations in OpenAlex.
- Standardized MRI nomenclature for knee meniscal lesions: SSR consensus panel report.Skeletal radiology · 2026Review
- Lateral Meniscus Hypermobility: Current Concepts in Pathoanatomy, Diagnosis, and Evolving Treatment Strategies.Cureus · 2025Review
- Tears of Popliteomeniscal Fascicles and Meniscofibular Ligament in Popliteal Hiatus Area: An Arthroscopic Repair Technique With Suture.Arthroscopy techniques · 2025Article
- Arthroscopic Repair Technique of Lateral Meniscus Tear at the Popliteal Hiatus Area.Arthroscopy techniques · 2025Article
- Concomitant Popliteomeniscal Fascicles Tears Are Found in 21% of Professional Soccer Players With Acute Anterior Cruciate Ligament Injuries.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Anterior Mobility of the Posterior Horn of the Lateral Meniscus Is Associated With Abnormal Magnetic Resonance Imaging Findings of Anteroinferior Popliteomeniscal Fascicle and Posterosuperior Popliteomeniscal Fascicle as Well as a Clinical History of Catching or Locking Symptoms.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Retrospective evaluation of MRI findings in arthroscopically confirmed cases of hypermobile lateral meniscus.Skeletal radiology · 2024Article
- [A study on repair method of typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- Surgical Management of Discoid Lateral Meniscus With Anterior Peripheral Instability: Retaining an Adequate Residual Meniscus Volume.Arthroscopy techniques · 2022Article
- Custom total knee arthroplasty facilitates restoration of constitutional coronal alignment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- The hypermobile and unstable lateral meniscus: a narrative review of the anatomy, biomechanics, diagnosis and treatment options.Annals of joint · 2022Review
- Preoperative Magnetic Resonance Imaging as a Diagnostic Aid for Hypermobile Lateral Meniscus.Diagnostics (Basel, Switzerland) · 2021Article
- Widening of the popliteal hiatus on sagittal MRI view plays a critical role in the mechanical signs of discoid lateral meniscus.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Predictive signs of peripheral rim instability with magnetic resonance imaging in no-shift-type complete discoid lateral meniscus.Skeletal radiology · 2021Article
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9 authors at 1 institution in 1 country.
Funding
Abstract
purposeThis study was undertaken to elucidate the clinical significance of widening of the popliteal hiatus on magnetic resonance imaging (MRI), and to document the clinical results and technical aspects of arthroscopic repair of this finding.
methodsIncluded are 82 knees after arthroscopic surgery, divided according to arthroscopic diagnosis into group A, hypermobility of lateral meniscus, 8 knees; group B, tear of the anterior horn of the lateral meniscus, 32 knees; and group C, no abnormality of the lateral meniscus, 36 knees with medial meniscal tears and 6 with other conditions. Popliteal hiatus diameter was measured and the popliteal hiatus/lateral tibial plateau (LTP) ratio was calculated on preoperative sagittal and coronal MRI. At arthroscopy, the widened popliteal hiatus in group A was tightened anteriorly by outside-in or all-inside suture and posteriorly with all-inside suture. Outcomes were evaluated with MRI, Lysholm, Tegner and VAS scores.
resultsThe preoperative diameter of the popliteal hiatus and the popliteal hiatus/LTP ratio were significantly larger in group A than in groups B and C (p < 0.05) on both views. Threshold popliteal hiatus/LTP values of 0.16 and 0.18 on the sagittal and coronal views demonstrated diagnostic discrimination, and these values were significantly reduced after arthroscopy in Group A. Lysholm and Tegner scores were improved after tightening of the popliteal hiatus, while VAS scores reduced (all p < 0.05).
conclusionWidening of the popliteal hiatus on MRI may lead to recurrent subluxation of the lateral meniscus. Arthroscopic anterior and posterior tightening of the popliteal hiatus was a safe and effective treatment. LEVEL OF EVIDENCE: II.
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